Medicaid/Medicare Srvs Specialist III

Kentucky Personnel Cabinet

2d • $47,531 - $71,298 • Hybrid

About The Position

The Department for Aging and Independent Living provides services for the aged and physically disabled populations across the state. The Department is charged with assisting individuals in obtaining needed home and community-based care and services to prevent premature admission into a long-term care facility. The goal of the departments programs is to assist individuals with remaining in their own home for as long as possible. The Department is currently seeking a high energy, self-motivated individual with the desire to assist the Division in supporting the departments goals.

Requirements

• Graduate of a college or university with a bachelor's degree.
• Four years of experience in Medicaid or Medicare program administration, health insurance administration/systems, eligibility systems, health care research, health care planning, health care financial management, health care policy development, human service or health care administration, insurance billing and/or claims, or research, review, and analysis of legislation or regulations.
• Experience in the above areas will substitute for the required college on a year-for-year basis.
• Current or prior military experience will substitute for the required college on a year-for year basis.

Nice To Haves

• Excellent verbal and written communication skills.
• Excellent computer skills.
• Ability to plan and establish priorities, differentiating between urgent, important, and unimportant tasks.
• Excellent organization skills including time management, scheduling, coordinating resources and meeting deadlines.
• Attention to detail being thorough and accurate in completing tasks.
• Ability to work cooperatively as part of a team.
• Ability to work under pressure, being able to cope with a high volume of work and meeting deadlines.
• Exceptional Customer Service.
• Effective Problem Solver.
• Written and verbal communication skills.
• Works well in a fast-paced environment.
• Organization and time management skills.

Responsibilities

• Perform advanced analysis of records to identify provider deficiencies.
• Evaluate regulations and policies, providing expert recommendations for improvement.
• Develop, interpret and maintain comprehensive statistical reports and tracking spreadsheets.
• Address complex inquiries and prepares detailed oral or written responses.
• Analyze and report impact of policy changes, providing expert insight to inform decision making and strategic planning.
• Conduct monitoring and technical reviews of agencies providing waiver services.

What This Job Offers

• Job Type: Full-time
• Career Level: Executive